2013-05-08T14:17:40-05:00 2012-12-31 341897225 HILL BARTH & KING LLC 3838 TAMIAMI TRAIL NORTH NAPLES FL 34103 990PF 2012-01-01 391691916 PETHERICK FAMILY FOUNDATION INC PETH 2399472900 8841 WEST TERRY STREET BONITA SPRINGS FL 341354381 GORDON PETHERICK 2399472900 2013-04-26 1 RONALD J WALTHER P00052535 2392632111 2013-04-26 2012 2016-02-24 21:20:13Z X 15065 X X 489 489 2614 21487 2614 3103 3103 0 0 0 8 0 0 256 256 0 264 256 0 20000 20000 20264 256 20000 -17161 2847 4497 5712 5712 25860 7484 9353 30357 13196 15065 0 0 X 0 0 0 0 30357 13196 30357 13196 30357 13196 30357 -17161 0 13196 0 13196 SEE SCHEDULE ATTACHED P 91 91 0 0 SEE SCHEDULE ATTACHED P 21359 18782 2577 2577 CAPITAL GAINS DIVIDENDS P 37 37 37 2614 0 10994 40883 0.268914 13637 48232 0.282738 11485 51622 0.222483 18353 84973 0.215986 13250 118206 0.112092 1.102213 0.220443 32364 7134 28 7162 20000 X 28 0 28 0 28 0 28 0 0 0 0 0 0 0 0 0 0 1 1 WI 1 0 0 0 0 1 N/A JIM MAGNUS 2399472900 8841 WEST TERRY STREET BONITA SPRINGS FL 34135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GORDON W PETHERICK 8841 WEST TERRY STREET BONITA SPRINGS FL 34135 0.25 0 0 0 AUDREY PETHERICK 8841 WEST TERRY STREET BONITA SPRINGS FL 34135 0.00 0 0 0 SUSAN M MAGNUS 8841 WEST TERRY STREET BONITA SPRINGS FL 34135 0.25 0 0 0 NONE 0 NONE 0 THE ORGANIZATION IS ENGAGED PRIMARILY IN MAKING GRANTS OF MONEY ON AN ANNUAL BASIS TO OTHER CHARITABLE ORGANIZATIONS THAT ARE CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE 1986 INTERNAL REVENUE CODE 0 0 27003 5854 0 32857 0 0 32857 493 32364 1618 1618 28 28 1590 0 1590 0 1590 20000 0 20000 28 19972 1590 0 0 13250 18397 11500 13650 11000 67797 20000 0 0 20000 0 0 1590 1590 86207 0 0 0 0 0 0 11660 74547 18397 11500 13650 11000 20000 X JAMES MAGNUS PO BOX 2408 BONITA SPRINGS FL 34133 2399472900 LETTER DETAILING PURPOSE OF GRANT AND AMOUNT OF FUNDS REQUESTED. NONE NONE SALVATION ARMY 3180 ESTEY AVENUE NAPLES FL 34104 NONE PUBLIC CHARITABLE 10000 AMERICAN RED CROSS 2025 E STREET WASHINGTON DC 20006 NONE PUBLIC CHARITABLE 10000 20000 0 14 489 14 2614 0 3103 0 3103 8 N/A 0 0 0 0 0 0 0 0 0 0 PURSUANT TO CODE SEC. 4942(H)(2) AND REG. 53.4942(A)-3(D)(2), PETHERICK FAMILY FOUNDATION , INC ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS COMING FROM CORPUS. FIDELITY CONTRAFUND 4976 6763 MANAGERS PIMCO BOND FUND 2508 2590 INVESTMENT MANAGEMENT FEE 256 256 0 EXCISE TAX 8 0 0